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Campaign Finance Receipts and Expenditures Report Page 1 of 1 Print this form or Go Back Campaign Finance Receipts Governmental Ethics Commission & Expenditures Report 901 S. Kansas Ave. 1110/2019 Topeka, KS 66612 Office (785) 296-4219 Fax (785) 296-2548 ethics.kansas.gov Check only if appropriate 0 Amended Filing o Termination Report Campaign Finance Candidate Name:Vicki L Schmidt Filing Report Address: 5906 SW 43rd CT Address2: City: Topeka Zip: 66610 County: Shawnee Home Phone: (785) 267-4686 Business Phone: Office Sought: Insurance Commissioner District: -,'.. . SUMMARY (covering the period from 10/26/2018 through 12/31/2018) 1 CASH ON HAND AT BEGINNING OF PERIOD 102425.83 ,2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $45,500.00 3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $147,925.83 4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $120,392.48 5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $27,533.35 6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $2,509.78 7 OTHER TRANSACTIONS (Schedule D) view/print 68051.36 "I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is true, correct and complete. I understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor." Electronically filed on: 1/10/2019 7:53:35 PM Signature of Candidate or Treasurer: Vicki Schmidt Print this form or Go Back 1/11/2019 http://www.kssos.org/elections/cfr_viewer/reports/exp_report_main.aspx

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Page 1: Campaign Finance Receipts Governmental Ethics Commission …ethics.ks.gov/CFAScanned/StWide/2018ElecCycle/201901/SW... · 2019. 1. 11. · Campaign Finance Receipts and Expenditures

Campaign Finance Receipts and Expenditures Report Page 1 of 1

Print this form or Go Back

Campaign Finance Receipts Governmental Ethics Commission

& Expenditures Report 901 S. Kansas Ave. 1110/2019 Topeka, KS 66612

Office (785) 296-4219 Fax (785) 296-2548 ethics.kansas.gov

Check only if appropriate 0 Amended Filing o Termination Report

Campaign Finance Candidate Name:Vicki L Schmidt Filing Report Address: 5906 SW 43rd CT

Address2:

City: Topeka Zip: 66610 County: Shawnee

Home Phone: (785) 267-4686 Business Phone:

Office Sought: Insurance Commissioner District: -,'.. .

SUMMARY (covering the period from 10/26/2018 through 12/31/2018)

1 CASH ON HAND AT BEGINNING OF PERIOD 102425.83

,2 TOTAL CONTRIBUTIONS AND OTHER RECEIPTS (Schedule A) view/print $45,500.00

3 CASH AVAILABLE THIS PERIOD (Add Lines 1 and 2) $147,925.83

4 TOTAL EXPENDITURES AND OTHER DISBURSEMENTS (Schedule C) view/print $120,392.48

5 CASH ON HAND AT CLOSE OF PERIOD Subtract Line 4 from 3) $27,533.35

6 IN-KIND (NON-MONETARY) CONTRIBUTIONS (Schedule B) view/print $2,509.78

7 OTHER TRANSACTIONS (Schedule D) view/print 68051.36

"I declare that this report, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is true, correct and complete. I understand that the intentional failure to file this document or intentionally filing a false document is a class A misdemeanor."

Electronically filed on: 1/10/2019 7:53:35 PM Signature of Candidate or Treasurer: Vicki Schmidt

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1/11/2019http://www.kssos .org/elections/cfr_viewer/reports/exp_report_main.aspx

Page 2: Campaign Finance Receipts Governmental Ethics Commission …ethics.ks.gov/CFAScanned/StWide/2018ElecCycle/201901/SW... · 2019. 1. 11. · Campaign Finance Receipts and Expenditures

Campaign Finance Schedule A Report Page 1 of2

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SCHEDULE A

CONTRIBUTIONS AND OTHER RECEIPTS

Candidate: Vicki L Schmidt

Date Name and Address of Contributor

Type of Payment

Cash, Check, Loan, E-funds, Other

Occupation of Individual Giving Amount More Than $150

12/28/18 Caremark Rx Inc POBox 287 Lincoln Rl 2865

Check $2,000.00

12114118 Frank Ross Jr 30052 117th St Leawood KS 662 I 1

Check Attorney $1,000.00

11/21/18 Pinegar, Smith & Assoc., Inc. 513 SW Van Buren Street Topeka KS 66603

Check $2,000.00

11/06118 Derenda Mitchell 2809 SW Jewell Topeka KS 6661 I

E Funds $100.00

11/06118 Jeanne Commer 2724 N Rushwood Ct Wichita KS 67226

E Funds Healthcare $250.00

11/06/18 Kansans For Quality MHS 7353 Falmouth Prairie Village KS 66208

Check $500.00

11/06118 The GlaxoSmithKline PAC Five Moore Drive Research Triangle Pk NC 27709

Check $500.00

11/05118 David Adkins 350 E Short St Lexington KY 40507

E Funds Executive $250.00

11/05118 Lisa Bagshaw 34 Club Road Riverside CT 6878

E Funds Executive $2,000.00

11105/18 Rebecca Johnson POBox 257 Parker KS 66072

Check Executive $500.00

11/05/18 Shelby Edwards 3634 SW Spring Creek Ct Topeka KS 66614

E Funds $50.00

11/04118 William Hagner 2791 Long Hill Rd Guilford CT 6437

E Funds Executive $2,000.00

11/03118 Aetna 151 Fannington Avenue Hartford CT 6156

Check $2,000.00

11/03118 Duncan Bagshaw 34 Club Road Riverside CT 6878

E Funds Executive $2,000.00

11/02118 John & Jennifer Klein 53 Dingletown Road Greenwich CT 6830

E Funds Executive $4,000.00

11/01/18 E Funds Executive $1,000.00

1/11/2019http://www.kssos.org/elections/cfr_viewer/reports/schedule_aJeport.aspx

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Campaign Finance Schedule A Report Page 2 of2 Michael Bailey 3205 Baker Lane Franklin TN 37064

11/01/18 Robin Bradley 512 Autumn Springs Ct Franklin TN 37067

E Funds Executive

10/31/18

Family Eyecare Center Iotinetrusts 2301 Tenth Avenue Leavenworth KS 66048

Check

10/31/18 Jose Saenz 1524 N Sugar Rd Edinburg TX 78541

Check Executive

10/31/18 Global Financial Strategies POBox 8254 Santa Fe NM 87504

Check

10/31/18 UnitedHealth Group Inc POBox 1459 Edinburg TX 55440

Check

10/31/18 The Goldwater Taplin Group, Inc 1555 Palm Beach Lakes Blvd West Palm Beach FL 33401

Check

10/31/18 Nelson Taplin Goldwater Inc 1555 Palm Beach Lakes Blvd West Palm Beach FL 33401

Check

10/31/ 18

Global Government Solutions LLC 1555 Palm Beach Lakes Blvd West Palm Beach FL 33401

Check

10/30/18 Steve & Melissa Cox 1180 I S Sandusky Avenue Tulsa OK 74137

E Funds Executive

10/29/18

NAIFA Kansas Political Action Committee 825 S Kansas Avenue Topeka KS 66612

Check

10/29/18

Centene Management Company LLC 7700 Forsyth Blvd St Louis MO 63105

Check

10/26/18 Anthony & Elizabeth Minella 53 Horseshoe Road Darien CT 6820

E Funds Executive

10/26/18 Todd & Katherine Boehly 865 Hollow Tree Ridge Road Darien CT 6820

E Funds Executive

10/26/18 Terry Humphrey 1321 SW Lakeside Dr Topeka KS 66604

E Funds

Total Itemized Receipts for Period

Total Unitemized Contributions ($50 or less)

Sale of Political Materials (Unitemized)

Total Contributions When Contributor Not Known

TOTAL RECEIPTS THIS PERIOD

$1,000.00

$250.00

$750.00

$500.00

$2,000.00

$2,000.00

$2,000.00

$2,000.00

$2,700.00

$2,000.00

$2,000.00

$4,000.00

$4,000.00

$150.00

$45500.00

$0

$0

$0

$45500.00

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1/11/2019http://www.kssos.org/elections/cfr_viewer/reports/schedule_a_report.aspx

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Campaign Finance Schedule B Report Page 1 of 1

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SCHEDULE B

IN-KIND (NON-MONETARY) CONTRIBUTIONS

Candidate: Vicki L Schmidt

Date Name and Address of Contributor

Occupation of Individual Giving More Than $150

Description of In-Kind Contribution

Value of In-Kind Contribution

11/27/18 Valley Self Storage 600 SW VanBuren Topeka KS 66603

Storage $2,000.00

$509.78

$2509.78

$0

$2509.78

11/01/18 Pinegar & Smith POBox 555 Topeka KS 66601

Trip to Dodge City

Total Itemized (over $100) In-Kind Contributions

Total Unitemized ($100 or less) In-Kind Contributions

TOTAL IN-KIND CONTRIBUTIONS THIS PERIOD

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1/11/2019http://www.kssos.org/elections/cfr_viewer/reports/schedule_b_report.aspx

Page 5: Campaign Finance Receipts Governmental Ethics Commission …ethics.ks.gov/CFAScanned/StWide/2018ElecCycle/201901/SW... · 2019. 1. 11. · Campaign Finance Receipts and Expenditures

Campaign Finance Schedule C Report Page 1 of2

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SCHEDULE C

EXPENDITURES AND OTHER DISBURSEMENTS

Candidate: Vicki L Schmidt

Date Name and Address Purpose of Expenditure or Disbursement

Amount

12/20/18 Kelsey Kimberlin Photography 2415 National Lane Lawrence KS 66049

Miscellaneous Photography

$899.66

12/13/18 KSGOP 2605 SW 21st St Topeka KS 66604

Rental Room Rental Kansas Day

$100.00

12/13/18 Margie Canfield 2605 SW 21st St Topeka KS 66604

Reimbursement Volunteer Lunches

$50.00

12/11/18 HyVee 2951 SW Wanamaker Rd Topeka KS 66614

Postage/Shipping Postage/Shipping

$253.75

12/1 0/18 Office Depot 2109 SW Fairlawn Plaza Dr Topeka KS 66614

Supplies Office Supplies

$67.63

11/26/18 Vicki Schmidt 5906 SW 43rd CT Topeka KS 66610

Candidate (self) Reimbursement for 2018 MileagelHotel/Meals

$11,914.78

11/13/18 UPS 6021 SW 29th St Topeka KS 66614

Postage/Shipping Postage

$13.54

11/06/18 Sam's Club 1401 SW Wanamaker Rd Topeka KS 66604

Miscellaneous Election Night Refreshments

$70.05

11/06/18 Walmart 1501 SW Wanamaker Rd Topeka KS 66604

Miscellaneous Election Night Refreshments

$98.66

11/06/18 Direct Edge Campaigns LLC 2000 Glen Echo Road Nashville TN 37215

Miscellaneous Advance Ballot Postage, Consulting

$11,238.71

11/06/18 Paypal 2211 North First St San Jose CA 95131

Fundraising Expenses Fee

$10.75

11/05/18 Annie's Place 4014 SW Gage Center Drive Topeka KS 66604

Miscellaneous Volunteer Thank You $106.00

111112019http://www.kssos.org/elections/cfr_viewer/reports/schedule_cJeport.aspx

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Campaign Finance Schedule C Report Page 2 of2

11/05/18 Paypal 2211 North First St San Jose CA 95131

Fundraising Expenses Fee

$67.60

11/04/18 Paypal 2211 North First St San Jose CA 95131

Fundraising Expenses Fee

$58.30

11/03118 Paypal 2211 North First St San Jose CA 95131

Fundraising Expenses Fee

$58.30

11/02/18 Paypal 2211 North First St San Jose CA 95131

Fundraising Expenses Fee

$116.60

11/01118 Paypal 2211 North First St San Jose CA 95131

Fundraising Expenses Fee

$58.60

10130118 Paypal 2211 North First St San Jose CA 95131

Fundraising Expenses Fee

$78.60

10/26118 Paypal 2211 North First St San Jose CA 95131

Fundraising Expenses Fee

$116.30

10/26/18 Capitol Federal Savings Bank 700 S Kansas Avenue Topeka KS 66603

Fundraising Expenses Fee

$10.00

10/26/18 Paypal nil North First St San Jose CA 95131

Fundraising Expenses Fee

$4.65

10/26118 Direct Edge Campaigns LLC 2000 Glen Echo Road Nashville TN 37215

Miscellaneous Mailings & Consulting Fees

$95,000.00

Total Itemized Expenditures This Period $120392.48

Total Unitemized Expenditures of $50 or less $0

TOTAL EXPENDITURES & OTHER DISBURSEMENTS THIS PERIOD $120392.48

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Page 7: Campaign Finance Receipts Governmental Ethics Commission …ethics.ks.gov/CFAScanned/StWide/2018ElecCycle/201901/SW... · 2019. 1. 11. · Campaign Finance Receipts and Expenditures

Campaign Finance Schedule D Report Page 1 of 1

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SCHEDULE D

OTHER TRANSACTIONS

Candidate: Vicki L Schmidt

Date Name and Address Nature of Account or Loan Payable or Loan Receivable

Balance at Close of Period

12/31/18 Vicki Schmidt 5906 SW 43rd CT Topeka KS 66610-1632

Loan from Previous Report $68,051.36

TOTAL OTHER TRANSACTIONS I $68,051.36

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1/11/2019http://www.kssos.org/elections/cfr_viewer/reports/schedule_d_report.aspx